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Deactivated NPI 1720081474 Deactivated / Inactive NPI Male Practitioner

Dr. Guy M Hanson , DDS

Dentist - General Practice • Boise, ID

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Guy Hanson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 24, 2005
NPI Deactivation Date March 17, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Guy Hanson, DDS was a registered Dentist - General Practice practicing in Boise, ID. Throughout an active medical career spanning 1 years, Dr. Hanson provided care at the practice location at 9203 W OVERLAND RD until profile deactivation on 2006-03-17.

Practice Location & Contact Primary Location

Practice Address

9203 W Overland Rd

Boise, ID 837092502

Telephone 2083751012
Fax 2083751098
Associated Practice Facility / Clinic
🏢 Guy M. Hanson, Dds, Pa Facility NPI 1003858630

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.3 Yrs
Regional Practice Density
142 Specialists

Practicing in Boise, ID (781 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License ID D1850

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Anna Budolfson , DMD

Dentist - General Practice

NPI 1841353018

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated April 05, 2023

Record deactivated on April 05, 2023

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Updated Practice Location June 02, 2008

Registered at 9203 W OVERLAND RD, BOISE, ID 837092502 (Tel: 2083751012)

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Updated Business Mailing Address June 02, 2008

Registered at 9203 W OVERLAND RD, BOISE, ID 837092502 (Tel: 2083751012)

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Provider Name / Credentials Updated June 02, 2008

Recorded as GUY HANSON, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2008

Dentist (License #D1850 in ID)

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NPI Profile Reactivated June 08, 2006

Record officially reactivated for active practice on June 08, 2006

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NPI Profile Deactivated March 17, 2006

Record deactivated on March 17, 2006

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Initial NPI Registration & Enumeration May 24, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720081474
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2005
Last Update: June 02, 2008
Deactivation Date: March 17, 2006

Mailing Address

9203 W Overland Rd

Boise, ID 837092502

Phone: 2083751012

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.